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Dr. D Shilpa

Nephrologist, kadapa

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Dr. D Shilpa Nephrologist, kadapa
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My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. D Shilpa
Dr. D Shilpa is an experienced Nephrologist in Krishna Village, Kadapa. You can meet Dr. D Shilpa personally at dshilpa in Krishna Village, Kadapa. Don’t wait in a queue, book an instant appointment online with Dr. D Shilpa on Lybrate.com.

Lybrate.com has a nexus of the most experienced Nephrologists in India. You will find Nephrologists with more than 32 years of experience on Lybrate.com. Find the best Nephrologists online in Kadapa. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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dshilpa

43/191-f prakash ngar kadapakadapa Get Directions
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My urine reports shows protein in urine while in blood it shows 4.6 (normal range 6.0 to 8.0). When I inquired its known as "Protienuria". Now I have following options (1) Go for PTC test (2) Go for 24 hour Urine test (3) Go for Biopsy. Please suggest me best option.

MD - General Medicine
General Physician, Anand
First u have to go for 24 hr.urinary protein.If it is significantly high then go for usg abdomen and rena biopsy if your age is above 18.
1 person found this helpful

Myths And Facts About Stone Formation In Kidney!

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship In Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
Myths And Facts About Stone Formation In Kidney!

When the doctor informs you that you have stones in your kidney or gallbladder, the typical reaction it evokes is panic. Though you have been suffering from excruciating and unbearable pain for a long time, the idea of having stones inside your body is not exactly a happy feeling.

Stones are small crystallized formation which mainly occurs in the kidney, along with urinary tract in the urethra, bladder, and urethra or in gallbladder. The common causes of stones in the body are-

1. Drinking less water

2. High cholesterol levels in your liver

3. Overconcentration of bile in the gallbladder

About 30% of the world population suffers from kidney stones and about 10% have stones in their gallbladder.

Myths vs Facts-

1. Drinking cranberry juice will help eliminate kidney stones: Doctors say that though cranberry juice helps cure urinary tract infections, it will certainly make the condition of kidney stones worse. Cranberry is high in oxalate and stimulates the growth of further stones. The correct treatment is drinking six to eight glasses of water every day to increase urine flow for the stones to pass out from your system. Also drinking citrus juice every day can prevent stone formation.

2. Prolonged immobility increases the risk of stone formation: This is true as more physically active you are, the lower your chances are of having stones. One should always engage in moderate physical activity and keep in mind to replace the fluid loss that happens through sweating by drinking water and juices.

3. Calcium intake aggravates the problem of renal stones: A commonly believed rumor, that stone formation in the body and high levels of calcium in the body are inter-related. This is mostly because, most of the stones that are removed from the body and analyzed contain 75% calcium. However, this is not the reality. Drinking a glass of milk or yogurt with food intake rich in magnesium helps bind the oxalate in the digestive tract and prevents stone formation. Lower levels of oxalate increase the risk of stone formation.

4. Apple cider vinegar helps you dissolve bladder stones: It is a high source of calcium, potassium, malic and acetic acid, but it does not control the pH level of the body. Rather it causes an imbalance in the acid formation in the body. A common misconception is that most people who have gallstones suffer from acidity. However, this is not true. Gallstones occur when you don’t eat properly or take high fat containing diet. Over 95% people who have stones in the gallbladder have a minimum of 2-hour gap between the time they wake up and do breakfast. Over 40% of people with gallstones skip breakfast and over 60% eat a very late dinner. As this routine continues until the next day, the body starts releasing acids in your stomach, causing headaches.

5. Stone formation is entirely hereditary: This myth has propagated from the false notion that the probability of developing stones inside the body is hereditary. Stones formation in the bladder and kidney is largely based on dietary and lifestyle habits of an individual. This myth makes people more ignorant about this disease and it has also compounded the fact that those with family history of stones have a 2.5% more risk.

6. Medicines can break or dissolve the renal stones: There is no medicine which can break or dissolve the renal stones. Medicines only help in flushing the stone out from the system.

7. Misconceptions about certain foods as cause of stone formation: Balanced diet is more important in preventing stone formation than avoidance of any particular food item. Plenty of oral fluids, help in diluting and washing away of early stone formations, resulting in prevention of stone.

3470 people found this helpful

Which are benefits of Tulsi leaves for our body? It it effective in kidney stones ?please suggest something.

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Which are benefits of Tulsi leaves for our body? It it effective in kidney stones ?please suggest something.
Tulsi leaves as such has lot of benefits. It has not been studied in case of renal stones but it should have good effects only.
1 person found this helpful

My urine is not coming in public toilet and my relative home. But my home and my hostel urine gonna freely. What is remedy to treat that type of sensation. Please tell.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
My urine is not coming in public toilet and my relative home. But my home and my hostel urine gonna freely. What is r...
Hello- This type of problems occur in most teenagers. Due to hesitancy, the bladder valve remains constricted and the person is not able to urinate if surrounded by peoples. >These tips help will help you- 1. Practise Kegel exercise daily. (It will make your PC muscle strong and you will feel a better bladder control) 2.Use Tablet Neo thrice a day before meals.
1 person found this helpful

I didn't here this type of benefits by drinking beer. I have a small kidney stone. Shall I have moderate quantity of beer in order to melt them. Please guide me in order to resolve my problem. Thanks & Regards Ramesh.

MBBS, DNB (General Surgery), MNAMS (Membership of the National Academy) (General Surgery) , Fellowship in Minimal Access Surgery, Fellow of Indian association og gastro intestinal endo surgeons
General Surgeon, Ghaziabad
I didn't here this type of benefits by drinking beer. I have a small kidney stone. Shall I have moderate quantity of ...
Beer does not melt any stones. This is a common misconception. For stones have plenty of water generally. Stones smaller than 6mm can pass spontaneously usually, larger stones may obstruct and may require some procedures. Medicines are available which help in passing small stones but please get ultrasound kub, for confirmation of diagnosis.
1 person found this helpful

Gall Bladder Stones - Homeopathic Treatments!

MD - Bio-Chemistry, MF Homeo (London), DHMS (Diploma in Homeopathic Medicine and Surgery), BHMS
Homeopath, Kolkata
Gall Bladder Stones - Homeopathic Treatments!

गुर्दे की पथरी का होमियोपैथि में सबसे बेहतर उपचार-


शरीर में अतिरिक्त उष्णता बढ़ने, गर्म जलवायु के प्रभाव से, पानी कम मात्रा में पीने आदि कारणों से शरीर में जलीय-अंश की कमी यानी डिहाइड्रेशन होने की स्थिति में मूत्र में कमी और सघनता होती है, जिससे कैल्शियम आक्सलेट मूत्र में ही पाया जाता है या फॉस्फेट, अमोनियम फॉस्फेट, मैग्नीशियम कार्बोनेट आदि तत्त्व किडनी की तली में जमने लगते हैं और धीरे-धीरे पथरी का आकार ले लेते हैं।
पाचन प्रणाली की खराबी भी इसमें एक कारण होता है। मूत्राशय यानी ब्लैडर की पथरी स्त्रियों की अपेक्षा पुरुषों को ज्यादा होती है और इसका पता पेशाब करने में होने वाले कष्ट से चलता है। मूत्राशय की पथरी अविकसित देशों के गरीब लोगों में अधिकतर पाई जाती है और इसका कारण उनके आहार में फॉस्फेट और प्रोटीन की कमी होना होता है। पथरी के इन प्रकारों को मोटे तौर पर मूत्र-पथरी कहा जाता है, क्योंकि इनका सम्बन्ध मूत्र, मूत्राशय, मूत्रनलिका और गुर्दो से होता है।
विटामिन ‘डी’ की विषाक्तता तथा थायराइड ग्रंथि की अति सक्रियता के कारण शरीर में कैल्शियम के स्तर में बढ़ोतरी हो जाती है। साथ ही कैल्शियम युक्त पदार्थ अधिक खाने की स्थिति में भी गुर्दे में पथरी हो जाती है।

ऐसे फल-सब्जियां जिनमें आक्जलेट अधिक होता है, खाने पर जोड़ों में दर्द एवं गठिया वगैरह की स्थिति में अधिक यूरिक बनने के कारण भी क्रमश: आक्जलेट एवं यूरिक एसिड स्टोंस (पथरी) बन जाती है।
पथरी के लक्षण-
लक्षण मुख्यतया इस बात पर निर्भर करते हैं कि पथरी का आकार क्या है और कहां स्थित है।

1. छोटे-छोटे टुकड़े गुर्दे में पड़े रहें तो इनका पता नहीं चलता, न कोई कष्ट ही होता है, लेकिन जैसे ही यह टुकड़ा ‘यूरेटर’ में प्रवेश करता है, वैसे ही अचानक भयंकर दर्द होता है जिसे ‘रेनलकॉलिक’ कहते हैं।

2. कमर में तीव्र अथवा हलका दर्द पीछे की तरफ बना रहना एवं चलने-फिरने पर दर्द बढ़ जाना।

3. ‘रेनलकॉलिक’ अचानक शुरू होता है, दर्द की तीव्रता बढ़ती जाती है और यह जांघों, अण्डकोषों, वृषण, स्त्रियों में योनिद्वार तक पहुंच जाता है।

4. कभी-कभी मूत्र मार्ग में पथरी फंसने के कारण पेशाब बंद हो जाता है।

5. कभी-कभी मूत्र-मार्ग से छोटी पथरी के गुजरकर बाहर निकलने के बाद घाव हो जाने के कारण मूत्र-मार्ग से रक्त भी आ सकता है।

पथरी की जांच-
1. पेशाब में लाल रक्त कोशिकाएं पाई जाती हैं।

2. एक्स-रे जांच (गुर्दो एवं मूत्राशय तथा मूत्र-मार्ग की) कराने पर पथरी स्पष्ट दिखाई पड़ती है |

3. यूरेटर (मूत्र नलियों) को रंगने वाले पदार्थ (डाई) की रक्त वाहिकाओं के द्वारा वहां तक पहंचाकर एक्स-रे करने पर और स्पष्ट पता चल जाता है।

4. अल्ट्रासाउंड (तरंगों की आवृति के द्वारा) जांच द्वारा भी सही-सही स्थिति का पता लगाया जा सकता है।

पथरी से बचाव-
पानी अधिक मात्रा में पीना चाहिए। कैल्शियम एवं आक्जलेट युक्त पदार्थ सीमित मात्रा में ही खाने चाहिए। टमाटर, मूली, पालक, भिंडी, बैगन व मीट का परहेज़ रखें। 

2 people found this helpful

Hi, Sir my creatine is 0.87 and my bun/sr. creatinine ratio is 17.74 english gfr is 109 is it normal i'm 39 now i am having type 2 diabetes my fasting sugar is 152 and my pp sugar is 188 my hb1c is 8 and bag is 183.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hi, Sir my creatine is 0.87 and my bun/sr. creatinine ratio is 17.74 english gfr is 109 is it normal i'm 39 now i am ...
Hello, Thanks for the query. Your serum creatinine and BUN are with in normal limit. Even estimated GFR is very good. However at 39 years, it is better to have Fasting <100 mg, PP 150 to 160 mg & HbA1c % < 6.8. So please take care of that. Thanks.
1 person found this helpful

Sir my creatinine was 1.1 and now after 45 days is .86 the lab rang is .7 to 1.2. Gfr 97. I feel kidneys pain.

MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Mohali
Sir my creatinine was 1.1 and now after 45 days is .86 the lab rang is .7 to 1.2. Gfr 97. I feel kidneys pain.
The creatinine value is in nornal range. If you feel that you have pain related to the kidneys, you should get examined and get an ultrasound done.
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